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NPI Code Detail

MEDICARE: NICHOLLETTE VICTORIA DYKES NP

MEDICARE: NICHOLLETTE VICTORIA DYKES NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0002324CO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner00001078CO

General Provider Information

NPI Number : 1891305595
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLLETTE VICTORIA DYKES NP
Provider Business Mailing Address
First Line : 1905 N SHERMAN ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80203-1132
Country : US
Telephone Number : 303-529-6467
Fax Number : 303-622-1128
Provider Business Practice Location Address
First Line : 1905 N SHERMAN ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80203-1132
Country : US
Telephone Number : 303-529-6467
Fax Number : 303-622-1128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2020
Last Update Date : 06/09/2025

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